Provider Demographics
NPI:1073935441
Name:ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA
Entity Type:Organization
Organization Name:ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA
Other - Org Name:HOPE CLINIC - WEST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARACOSTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-773-0803
Mailing Address - Street 1:13930 BELLAIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083
Mailing Address - Country:US
Mailing Address - Phone:713-773-0803
Mailing Address - Fax:713-271-5422
Practice Address - Street 1:12121 WESTHEIMER RD
Practice Address - Street 2:SUITE 205
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6682
Practice Address - Country:US
Practice Address - Phone:713-773-0803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-20
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3348294-01Medicaid
TX3348294-01Medicaid